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1154087641
VIVERE JABONILLO CASTRO
WEST COVINA, CA
NPI
1154087641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019100)
Enumeration Date
2021-11-09
Last Update Date
2024-05-07
Business Address
VIVERE JABONILLO CASTRO
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790-3940
Phone number: 626-732-8390
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Mailing Address
VIVERE JABONILLO CASTRO
14011 PARK AVE
VICTORVILLE, CA 92392-2413
Phone number: 833-574-2273
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